ANDREW BACON
NPI 1073094298
Physical Therapist - Orthopedic in Ardmore, PA
About Andrew Bacon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW BACON (NPI 1073094298) is an individual orthopedic provider in Ardmore, Pennsylvania and active in the NPI registry since August 2018. He is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andrew Bacon is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Andrew Bacon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 32 clinicians in this Medicare group
Philadelphia, PA 19147
- Reassigned Medicare billing, Pennsylvania enrollment
- 334 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ARDMORE, PA 19003
ARDMORE, PA 19003
ARDMORE, PA 19003
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Andrew Bacon's NPI number?
The NPI number for Andrew Bacon is 1073094298. It was assigned to this individual provider in the NPPES registry on August 25, 2018.
Where is Andrew Bacon located?
Andrew Bacon practices at 120 E Lancaster Ave Ste 205, Ardmore, PA 19003. The listed phone number is (484) 297-6491.
What is Andrew Bacon's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Andrew Bacon enrolled in Medicare?
Yes. Andrew Bacon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andrew Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Bacon reassigns Medicare benefits to 2 organizations: Cloudline Physical Therapy LLC (Philadelphia, PA) and Orthopedic And Sports Physical Therapy Services, Inc. (Philadelphia, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Andrew Bacon was last updated on August 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Andrew Bacon · NPI 1073094298
Orthopedic provider in Ardmore, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 25, 2018.
## Identity
- **NPI:** 1073094298 (Entity type: Individual)
- **Enumerated:** August 25, 2018
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 120 E LANCASTER AVE STE 205, Ardmore, PA 19003-3209
- **Phone:** (484) 297-6491
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cloudline Physical Therapy LLC (NPI 1457968448, Philadelphia, PA); Orthopedic And Sports Physical Therapy Services, Inc. (NPI 1588661235, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1073094298) · Data from the CMS NPPES public registry.